Updated September 27, 2024
We are engaged in active discussions with Cleveland Clinic in Florida regarding our network relationship for our Medicare Advantage plans. Our top priority is to reach an agreement and ensure continued, uninterrupted network access to the health system.
We are committed to good-faith negotiation and utilizing the remaining time on our contract to engage in productive discussions with Cleveland Clinic in Florida in an effort to renew our Medicare Advantage contract.
If we are unable to reach an agreement, Cleveland Clinic’s hospitals, facilities and its physicians in Florida will be out of network for the following Medicare Advantage plans, effective Nov. 15, 2024:
- Medicare Advantage individual plans, including Preferred Care Partners and Preferred Care Network
- Medicare Advantage Group Retiree plans
- Medicare Advantage Dual Special Needs Plans (DSNP)
Important note: this negotiation only impacts Cleveland Clinic’s providers in Florida.
We have created the following FAQs to ensure you and your family have the information needed regarding next steps as well as details to help you with any questions you might have.
FAQs
Our top priority is to renew our relationship and ensure continued, uninterrupted network access to Cleveland Clinic’s providers throughout Florida.
If we are unable to reach an agreement, Cleveland Clinic’s hospitals, facilities and its physicians in Florida only will be out of network for Medicare Advantage plans, including Preferred Care Partners and Preferred Care Network, as well as Group Retiree and Dual Special Needs Plans (DSNP), beginning Nov. 15, 2024.
For now, nothing changes. UnitedHealthcare Medicare Advantage members continue to have network access to Cleveland Clinic’s Florida providers through Nov. 14, 2024.
This currently impacts Medicare Advantage plans, including Preferred Care Partners and Preferred Care Network as well as our Group Retiree and Dual Special Needs Plans (DSNP).
This only impacts Cleveland Clinic’s hospitals, facilities and its physicians in Florida. If we are unable to reach an agreement, the following hospitals would be out of network, effective Nov. 15, 2024.
- Cleveland Clinic Weston Hospital
- Indian River Medical Center
- Martin Medical Center North
- Martin Medical Center South
- Tradition Medical Center
Yes. Our goal is to reach an agreement that avoids any disruption to our members. We are committed to continued good-faith negotiation and utilizing the time remaining on our contract to engage in productive discussions with Cleveland Clinic in an effort to reach a long-term agreement. We hope Cleveland Clinic shares our commitment toward reaching an agreement that’s affordable for Floridians.
In the event we do not reach an agreement, people enrolled in our Group Retiree Medicare Advantage PPO plans may still receive care from a Cleveland Clinic Florida hospital or physician as an out-of-network provider, if they are a Medicare-approved provider that accepts the plan. Your share of the cost will be the same as if they were part of the network for some or all services.
UnitedHealthcare Group Retiree Medicare Advantage members are encouraged to speak with their physician to confirm they’ll continue to see them, regardless of their network status.
For additional information about our Group Retiree plan as well as information on how to find a provider in their area, UnitedHealthcare members should go to retiree.uhc.com.
You and your family will continue to have access to thousands of physicians and several hospitals throughout the area, should Cleveland Clinic leave our Florida network. Hospitals remaining in our network include but are not limited to:
- HCA Florida Lawnwood Hospital
- HCA Florida St. Lucie Hospital
- HCA Florida University Hospital
- Memorial Hospital Miramar
- Memorial Hospital West
- Steward Sebastian River Medical Center
If you need assistance finding an alternative provider in your area, please call the number on your health plan ID card. You can also use the provider directory on our member website to search for alternative hospitals and doctors.
If you or someone in your family is in the middle of treatment with a provider at the time they go out of network, you may qualify for continuity of care. Continuity of care provides continued in-network benefits for a specified period of time after a provider leaves our network. A few examples of patients who may qualify include but are not limited to:
- Women who are pregnant;
- Patients with newly diagnosed or relapsed cancer, or those currently in active cancer treatment.
Members who have questions about continuity of care and whether they may be eligible should call the number on their health plan ID card.
UnitedHealthcare members should always go to the nearest hospital in the event of an emergency. Their services will be covered at the in-network benefit level, regardless of whether the hospital participates in UnitedHealthcare’s network.